Revision?

Revision?
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  • Madoak
    Participant
    Post count: 5

    Results of spec scan today. Have a cyst in operated site from 2013 (c5/6) mild fusion whatever that means and also loose screws. The registrar said this isn’t a problem and my neck is stable. I’m in a mess and don’t know what to do as the advice is to leave it. I have a claw hand and restricted movement that has got progressively worse since the fusion. I have a very weak neck. . There is no impingement in the scan. What would you suggest Dr Corenam.

    • This topic was modified 9 months ago by  Madoak.
    Donald Corenman, MD, DC
    Moderator
    Post count: 6457

    I assume you had a fusion (ACDF) of C5-6 in 2013. I will also assume this was for nerve compression (foraminal stenosis). The cyst formation and “loose screws” are most likely from a failure of fusion (pseudoarthrosis). If you have continued neck pain and/or continued nerve compression symptoms, I would advise a new CT scan. This will define how much new spur formation has occurred and how significant the current stenosis is. This probably will need a revision if the CT notes pseudoarthrosis and you have continued symptoms.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
    If this forum has helped you, please let Dr. Corenman know!

    Madoak
    Participant
    Post count: 5

    Thank you Dr Corenam, that’s very helpful. I did have a ct scan which showed severe stenosis on the left hand side, that the plate is asymmetrical, loose screws and again that odd term, ‘mild fusion’. I do indeed have neck pain and also very bad upper back pain. The trouble was that I saw a junior doctor on the NHS who stated that I didn’t need the srews to be tight as they are immaterial and that the mild fusion was good enough. He said that the screws are only there to help until the neck is fused. I was under the impression that a fusion had to be ‘fused’ and with no motion. He was keen to ascribe my hand and arm weakness to potential other causes but I have been tested for everything neurological and I am sure it is due to the neck issues. On the basis that I felt he was a tad inexperienced my husband and I are going to seek a second opinion privately in Cambridge next month. The reason for posting was to clarify in my mind what questions I need answered. Thank you so much for your help. If I were in the U.S. I would definitely seek your further help. I do think this website is so very helpful. With gratitude.

    • This reply was modified 9 months ago by  Madoak.
    Donald Corenman, MD, DC
    Moderator
    Post count: 6457

    Please keep the forum updated with your next consultation.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
    If this forum has helped you, please let Dr. Corenman know!

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